Ates Ilker, Terzi Ulku, Suzen Sinan, Irham Lalu Muhammad
Department of Toxicology, Ankara University, Faculty of Pharmacy, Emniyet Distr, Degol Str, No. 4, 06560 Yenimahalle, Ankara, Turkey.
Department of Toxicology, Ahmad Dahlan University, Faculty of Pharmacy, Prof. Dr. Soepomo, S.H., Street, Warungboto, 55164, Yogyakarta, Indonesia.
Toxicol Res (Camb). 2025 Feb 23;14(1):tfae194. doi: 10.1093/toxres/tfae194. eCollection 2025 Feb.
Major autoimmune rheumatic disorders, such as systemic lupus erythematosus and Sjögren's syndrome, are defined by the presence of autoantibodies. These diseases are brought on by immune system dysregulation, which can present clinically in a wide range of ways. The etiologies of these illnesses are complex and heavily impacted by a variety of genetic and environmental variables. The most powerful susceptibility element for each of these disorders is still the human leukocyte antigen (HLA) area, that was the initial locus found to be associated. This region is primarily responsible for the HLA class II genes, such as DQA1, DQB1, and DRB1, however class I genes have also been linked. Numerous genetic variants that do not pose a risk to HLA have been found as a result of intensive research into the genetic component of these diseases conducted over the last 20 years. Furthermore, it is generally acknowledged that autoimmune rheumatic illnesses have similar genetic backgrounds and share molecular pathways of disease, including the interferon (IFN) type I routes. Pleiotropic sites for autoimmune rheumatic illnesses comprise TNIP1, DNASEL13, IRF5, the HLA region, and others. It remains a challenge to determine the causative biological mechanisms beneath the genetic connections. Nonetheless, functional analyses of the loci and mouse models have produced recent advancements. With an emphasis on the HLA region, we present an updated summary of the structure of genes underpinning both of these autoimmune rheumatic illnesses here.
主要的自身免疫性风湿性疾病,如系统性红斑狼疮和干燥综合征,是由自身抗体的存在所定义的。这些疾病是由免疫系统失调引起的,临床上可能以多种方式表现出来。这些疾病的病因复杂,受到多种遗传和环境因素的严重影响。这些疾病中每一种最强大的易感性因素仍然是人类白细胞抗原(HLA)区域,这是最初发现与之相关的基因座。该区域主要负责HLA II类基因,如DQA1、DQB1和DRB1,不过I类基因也与之有关联。在过去20年对这些疾病的遗传成分进行深入研究后,发现了许多对HLA无风险的基因变异。此外,人们普遍认为自身免疫性风湿性疾病具有相似的遗传背景,并共享疾病的分子途径,包括I型干扰素(IFN)途径。自身免疫性风湿性疾病的多效性位点包括TNIP1、DNASEL13、IRF5、HLA区域等。确定遗传关联背后的致病生物学机制仍然是一项挑战。尽管如此,对这些基因座和小鼠模型的功能分析最近取得了进展。在此,我们重点关注HLA区域,对支撑这两种自身免疫性风湿性疾病的基因结构进行了最新总结。